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Suggest Treatment For Persistent Vascular Dementia In An Elderly Person
Question: My husband is 79, vascular dementia diagnosed about five years ago, Parkinson's Disease more recently. Just very recently he has shown signs of inability to interpret what he sees. Neurologist sees him only every six months. Should I call neurologist and report this recent visual symptom?
Brief Answer:
Yes, he should be examined.
Detailed Answer:
Hi xxxxxxxxxxx,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I would like to know that how did this difficulty in interpreting start?Was it acute in onset or did it start gradually?
Of course, in the setting of vascular dementia, its better to get him physically examined by a neurologist. If its acute onset, it may be the possibility of another vascular event.
Hope that helps.If you have any further questions, I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Yes, he should be examined.
Detailed Answer:
Hi xxxxxxxxxxx,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I would like to know that how did this difficulty in interpreting start?Was it acute in onset or did it start gradually?
Of course, in the setting of vascular dementia, its better to get him physically examined by a neurologist. If its acute onset, it may be the possibility of another vascular event.
Hope that helps.If you have any further questions, I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
To answer your query as to whether the symptom was acute or did it start gradually, my observation is that it started gradually but I did not recognize it so much as a new symptom until it was blatant; i.e., he would stand and look at objects as though he did not know what they were. Also, he began to actually ask me what common things were.
Thank you, doctor.
Thank you, doctor.
Brief Answer:
Metabolic abnormalities/brain imaging
Detailed Answer:
Hi,
Thanks for being in follow up.
I have gone through the details you mentioned.
These symptoms mandate to rule out metabolic abnormalities like sugar,electrolytes,creatinine and liver enzymes.Adequate hydration is must.Depending on the neurological examination,an EEG and a brain MRI might be needed as well.
If you have any further questions,I shall be glad to have you in follow up.
Regards
Dr.Ajay Panwar
MD,DM(Neurology)
Metabolic abnormalities/brain imaging
Detailed Answer:
Hi,
Thanks for being in follow up.
I have gone through the details you mentioned.
These symptoms mandate to rule out metabolic abnormalities like sugar,electrolytes,creatinine and liver enzymes.Adequate hydration is must.Depending on the neurological examination,an EEG and a brain MRI might be needed as well.
If you have any further questions,I shall be glad to have you in follow up.
Regards
Dr.Ajay Panwar
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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